Liver metastases: safety and efficacy of detection with superparamagnetic iron oxide in MR imaging

Autor: Marie-France Bellin, E. Auberton, D. Khayat, G. Sarfati, J.-J. Duron, Souhil Zaim, J. Grellet
Rok vydání: 1994
Předmět:
Zdroj: Radiology. 193:657-663
ISSN: 1527-1315
0033-8419
DOI: 10.1148/radiology.193.3.7972804
Popis: To evaluate the clinical and biologic safety of superparamagnetic iron oxide (SPIO) as a contrast agent in magnetic resonance (MR) imaging and to assess its efficacy in the detection of liver metastases.Twenty adults with liver metastases underwent MR imaging at 1.5 T before and 1 hour after infusion of SPIO. Four spin-echo (SE) sequences and one gradient-echo (GRE) sequence were used.There were no adverse reactions. Alterations in serum protein, serum iron, transferrin, and ferritin levels and transferrin saturation coefficient were statistically significant. The mean tumor-to-liver contrast-to-noise ratio (C/N) increased markedly with all sequences. The best postcontrast tumor-to-liver contrast was obtained with the GRE sequence (repetition time msec/echo time msec = 300/15). The mean number of apparent lesions detected after administration of SPIO increased by 12 with the proton-density-weighted SE sequences (800/30 and 2,500/30), four with the T2-weighted SE sequence (2,500/90), and seven with the GRE sequence (300/15).SPIO is safe, increases tumor-to-liver C/Ns with some sequences, and improves the detection of liver metastases.
Databáze: OpenAIRE